Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.98 / $2,093.98 / $2,292.41	Facility		$2,093.98	$2,093.98	$2,292.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.63 / $1,875.61 / $2,891.71	Professional		$1,069.63	$1,875.61	$2,891.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,875.95	Facility		$2,160.00	$2,160.00	$2,875.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $4,050.00 / $5,062.50	Professional		$2,160.00	$4,050.00	$5,062.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.38 / $332.38 / $2,843.35	Professional		$332.38	$332.38	$2,843.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.09 / $3,559.78 / $15,669.80	Facility		$338.09	$3,559.78	$15,669.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,077.36 / $1,469.64 / $3,815.80	Professional		$1,077.36	$1,469.64	$3,815.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.12 / $384.12 / $907.92	Facility		$384.12	$384.12	$907.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $460.38 / $907.92	Professional		$383.00	$460.38	$907.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.10 / $1,332.97 / $3,650.55	Professional		$1,331.10	$1,332.97	$3,650.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,482.81 / $3,142.80 / $3,142.80	Professional		$2,482.81	$3,142.80	$3,142.80